Department of Health and Nutritional Science, Institute of Technology Sligo, Co. Sligo, Ash Lane, Sligo, F91 YW50, Ireland.
True Fitness, Portarlington, Co. Laois, Ireland.
Ir J Med Sci. 2022 Feb;191(1):433-445. doi: 10.1007/s11845-021-02579-2. Epub 2021 Mar 8.
There is a higher prevalence of lifestyle-related diseases among Irish farmers than the general adult population. Lifestyle interventions that increase physical activity and improve dietary patterns have been associated with reduced chronic disease risk and improved quality of life among high-risk populations. The impact of lifestyle interventions among Irish farmers is unknown.
To assess the effectiveness of a community-based intervention on farmer health, cardiovascular fitness, lower limb strength endurance, and dietary intake.
A 6-week physical activity and lifestyle education intervention involving two 60-min circuit-based exercise training sessions and one 60-min health education workshop per week was implemented. Pre- and post-measurements included total body weight, body fat percentage, lean muscle mass, resting blood pressure, fasting blood glucose, cholesterol, triglycerides, cardiovascular fitness, lower limb strength, perceived physical and mental health, and dietary intake.
Thirty farmers completed the intervention giving an adherence rate of 75%. At baseline, mean BMI (32.7 ± 4.1 kg/m), body fat percent (31.7 ± 6.7), waist circumference (110.2 ± 10.4 cm), systolic (128.7 ± 7.8 mmHg) and diastolic (86.2 ± 6.8 mmHg) blood pressure were higher than recommended levels. Significant improvements (p < 0.05) were found for total body weight, BMI, waist and hip circumferences, cardiovascular fitness, lower limb strength endurance, systolic blood pressure, total energy, total fat, total unsaturated fat, monounsaturated fat, saturated fat, trans fat, total carbohydrate, sodium, cholesterol and percentage energy intakes of total fat, saturated fat, protein, and physical and mental health scores.
Irish farmers remain at high risk of developing chronic diseases but respond positively to lifestyle intervention.
爱尔兰农民中与生活方式相关的疾病患病率高于普通成年人群。增加身体活动和改善饮食模式的生活方式干预措施与降低高危人群的慢性疾病风险和提高生活质量有关。爱尔兰农民的生活方式干预的影响尚不清楚。
评估基于社区的干预措施对农民健康、心血管健康、下肢力量耐力和饮食摄入的效果。
实施了为期 6 周的身体活动和生活方式教育干预，每周包括两次 60 分钟的基于电路的运动训练课程和一次 60 分钟的健康教育研讨会。在干预前和干预后测量包括全身体重、体脂肪百分比、瘦肌肉质量、静息血压、空腹血糖、胆固醇、甘油三酯、心血管健康、下肢力量、身体和心理健康感知以及饮食摄入。
30 名农民完成了干预，坚持率为 75%。基线时，平均 BMI（32.7 ± 4.1 kg/m）、体脂肪百分比（31.7 ± 6.7）、腰围（110.2 ± 10.4 cm）、收缩压（128.7 ± 7.8 mmHg）和舒张压（86.2 ± 6.8 mmHg）均高于推荐水平。全身体重、BMI、腰围和臀围、心血管健康、下肢力量耐力、收缩压、总能量、总脂肪、总不饱和脂肪、单不饱和脂肪、饱和脂肪、反式脂肪、总碳水化合物、钠、胆固醇和总脂肪、饱和脂肪、蛋白质以及身体和心理健康评分的能量摄入百分比都有显著改善（p < 0.05）。
爱尔兰农民仍然面临患慢性疾病的高风险，但对生活方式干预反应积极。
